血精
Traditional Chinese Medicine Definition
Blood seminal emission, a category of male genital diseases in traditional Chinese medicine, refers to a condition where blood is mixed with seminal fluid, resulting in seminal fluid appearing red or dark red. According to the "Textbook of Internal Medicine in Traditional Chinese Medicine," blood seminal emission is often caused by kidney deficiency, damp-heat, and blood stasis. The pathogenesis involves the deviation of seminal and blood from their normal channels, leading to their overflow outside the vessels.
In clinical practice of traditional Chinese medicine, the core pathogenesis of blood seminal emission is commonly associated with kidney deficiency, damp-heat, and blood stasis. Common precipitating factors include emotional disorders, irregular diet, and excessive sexual activity. During the process of differentiation, attention should be paid to the following key points:
1. Yin deficiency with hyperactive fire: Patients often present with fresh red blood in seminal fluid, accompanied by symptoms such as dry mouth and heat sensation. The treatment approach for this syndrome type is to nourish yin and reduce fire, and cool blood to stop bleeding.
2. Damp-heat descending: Patients exhibit dark red, sticky seminal fluid, along with yellow and red urine. The treatment approach for this syndrome type is to clear heat and drain dampness, cool blood, and stop bleeding.
Overall treatment direction: In clinical practice of traditional Chinese medicine, the treatment of blood seminal emission should follow the principle of syndrome differentiation and treatment. According to the specific syndrome type of the patient, appropriate treatment methods should be adopted. Traditional Chinese medicine believes that the treatment of blood seminal emission should focus on regulating kidney Qi, clearing heat and draining dampness, cooling blood, and stopping bleeding, while also adjusting the patient's lifestyle to avoid excessive fatigue and the influence of negative emotions.
Common Syndrome Types and Key Points of Differentiation
阴虚火旺证
Main Manifestations：精中带血鲜红,口干潮热
Management Approach：滋阴降火,凉血止血
湿热下注证
Main Manifestations：精血暗红黏稠,小便黄赤
Management Approach：清热利湿,凉血止血
The above syndrome information is based on traditional Chinese medicine textbooks and clinical standards. Specific differentiation should be completed by a practicing traditional Chinese medicine physician in person.
Physician's Clinical Insights
For patients with blood seminal emission, where blood is mixed with seminal fluid, treatment should focus on nourishing yin and clearing heat to improve symptoms.
— 朱永兵 中医执业医师
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This page is for the popular science of traditional Chinese medicine knowledge and does not constitute medical advice. Specific diagnosis should be completed by a licensed traditional Chinese medicine practitioner in person.
参考文献：《中医内科学》（十三五规划教材）、《中医病证诊断疗效标准》(ZY/T001.1-94)、《中医病证分类与代码》(GB/T 15657-2021)